Doctor Name: | MRS. MILDRED R WHITLEY |
NPI Number: | 1700042793 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | PT 2087 |
Business Practice Address: | 11517 Kanis Rd Little Rock, AR - 722113724 |
Business Phone Number: | 5019938707 |
Business Fax Number: | 5012238075 |
Mailing Address: | 13817 Abinger Ct, LITTLE ROCK |
State: | AR |
Postal Code: | 722123736 |
Phone Number: | 5012192202 |
Fax Number: | 5012238075 |
NPI Enumeration Date: | 07/30/2008 |
NPI Last Update Date: | 07/30/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 171W00000X |
License Number: | PT 2087 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Contractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |